More harm than good? Diagnostic codes for child and adult abuse

This study sought to understand the reasons for the lack of use of ICD diagnostic codes for child and adult abuse. New Jersey professionals were recruited to participate in three focus groups on child abuse, adult or primarily woman abuse, and elder abuse. Participants included health care providers, advocates from the community, and representatives of state agencies and the insurance industry. Concerns about coding abuse included further jeopardizing victims/patients, diagnostic uncertainty, and lack of resources. Members of the child abuse group were somewhat more receptive to coding abuse. Reasons to code, such as for documentation and reimbursement were discussed and rebutted. Most participants concluded that use of the abuse codes should be judicious because they have the potential to do more harm than good. More research is needed on the implications of coding for victims/patients along with medical education in the identification of abuse in general and coding abuse in particular.     

'Clinton faces nation': a case study in the construction of focus group data as public opinion

This paper analyses the way in which a particular newspaper report constructs ‘public opinion’ based on data from small‐scale qualitative research. Using as a case study a report of a focus group discussion of Clinton's grand jury testimony, we show how these data are ‘worked up’ as representative, generalisable, and valid. By capitalising on the advantages of focus group data, while attending to and countering their disadvantages, the newspaper report is able to suggest that the views of ten people in San Francisco offer an authoritative indication of public opinion about Clinton across the USA. Finally, we sketch out some of the implications of this case study in relation to the construction of facticity more generally.     

Bayesian analysis of human movement curves

Summary.  We consider the Bayesian analysis of human movement data, where the subjects perform various reaching tasks. A set of markers is placed on each subject and a system of cameras records the three-dimensional Cartesian co-ordinates of the markers during the reaching movement. It is of interest to describe the mean and variability of the curves that are traced by the markers during one reaching movement, and to identify any differences due to covariates. We propose a methodology based on a hierarchical Bayesian model for the curves. An important part of the method is to obtain identifiable features of the movement so that different curves can be compared after temporal warping. We consider four landmarks and a set of equally spaced pseudolandmarks are located in between. We demonstrate that the algorithm works well in locating the landmarks, and shape analysis techniques are used to describe the posterior distribution of the mean curve. A feature of this type of data is that some parts of the movement data may be missing—the Bayesian methodology is easily adapted to cope with this situation.     

Safety culture

'Developing a positive health and safety culture is important if high standards of health and safety are to be achieved and maintained. There is a limit to the health and safety performance an organization can achieve without addressing the contribution which human factors have to play in eliminating occupational accidents and ill health' (David Eves, Deputy Director UK Health and Safety Executive; HSE 1997).     

Cleveland 20 years on: themes of disruption and repair in the trauma narratives of children,adults and society

This is the second of two linked papers which explores coherent and incoherent narratives emerging from Cleveland. It draws a parallel between the disrupted narratives of child and adult survivors of child sexual abuse and professional and societal narratives of Cleveland. The paper looks at the therapeutic task of individual repair using attachment‐based therapy, illustrated by clinical examples. It identifies five key challenges relevant to repair in the interpersonal, intra‐personal and societal domains. Copyright © 2008 John Wiley & Sons, Ltd.     

'White Men are Liars' - another look at Aboriginal-Western interactions

Aboriginal Australia has been in the national press lately fortragic reasons. Family violence, substance abuse, unemployment,poor health, appalling living conditions, hopelessness –the statistics and stories tell a terrible tale of life in someremote area communities. Although they do not describe all Indigenouscommunities, they are a reality for a sufficiently large numberto require a radical rethink of policies designed to promoteIndigenous rights and prosperity. They exist despite structuralreforms previously achieved and believed to rectify the wrongsof the past, such as land rights, government financial support,educational     

School performance, academic aspirations, and drug use among children and adolescents

The relationship between drug use, school performance, and academic aspirations among 446 Anglo and Hispanic youths, age nine to seventeen, is explored. Two groups of subjects--current substance users and non-users--were interviewed. Subjects in each comparison group were similar in age, ethnicity, and gender. Overall results, consistent with prior research, indicate a significant relationship between current school performance, future educational aspirations, and drug use. No difference was noted between substance use groups on indicators of general interest in school work or probability of dropping out of school. Important differences in response patterns occurring with age, ethnicity, and gender were found.     

Managing Contradiction: Stockholder and Stakeholder Views of the Firm as Paradoxical Opportunity

Stockholder and stakeholder perspectives have been positioned in the literature as being in tension, and thus a potential source of innovation and change. However, researchers have overlooked a systematic examination of this presumption in theory and in practice. This study explores the ways that stockholder and stakeholder assumptions are presented by theorists and compares these with expressions of stockholder and stakeholder perspectives used by firms in practice. We argue that theoretical entrenchment dichotomizing these perspectives has disrupted the ability of researchers to leverage this tension. While scholarship remains trapped in a vicious cycle, we also argue that firms in practice express only the acceptance dimension of a virtuous cycle. Our empirical research demonstrates that firms accept and accommodate the paradoxical tension between managing for stockholders versus balancing the interests of stakeholders. This is evidenced by strategies we identify as book‐ending, cadence, continuous and simultaneous co‐mingling, and hybridization. We find that in practice these tensions are more integrated whereas in theory they are treated as more distinct and, often, in conflict. We suggest ways in which both scholarship and practice can better leverage tension as paradoxical opportunity.     

Police interviews with vulnerable people alleging sexual assault: Probing inconsistency and questioning conduct

Reporting sexual assault to the authorities is fraught with difficulties, and these are compounded when the complainant is hindered by an intellectual disability (ID). In a study of 19 U.K. police interviews with complainants with ID alleging sexual assault and rape, we found that most interviewing officers on occasion pursued lines of questioning which not only probed inconsistencies (which is mandated by their guidelines), but implicitly questioned complainants’ conduct (which is not). We detail two main conversational practices which imply disbelief and disapproval of the complainants’ accounts and behaviour, and whose pragmatic entailments may pose problems for complainants with ID. Such practices probably emerge from interviewers’ foreshadowing of the challenges likely to be made in court by defence counsel. As a policy recommendation, we suggest providing early explanation for the motivation for such questioning, and avoiding certain question formats (especially how come you did X? and why didn't you do Y?).